This assessment should take approximately 30-60 minutes to complete. It should be completed by someone who works in infection prevention or control. There are 13 sections of the assessment. Please mark the following in response to each question:

  • "Yes" for any element that is completed and in place.
  • "In-Progress" if your facility is working on but has not yet completed and/or finalized the activity.
  • "Not Started" if the activity has not started or there are no plans to address.
  • "Not Applicable" if the activity does not apply to your facility.

Upon completion of the assessment, a PDF copy will be sent to you automatically via email. Please contact the MDH-ICAR staff at health.icar@state.mn.us with any questions or concerns.

Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.